The Challenge of Health Sector Reform

Mills, Anne; Bennett, Sara; Russell, Steven; Attanayake, Nimal; Hongoro, Charles; Muraleedharan, V. R.; Smithson, Paul

doi:10.1057/9780230599819

Cited by 59 publications

(57 citation statements)

References 61 publications

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“…Governments were recommended to distinguish 'purchasers' and 'providers' within their health sector, and to introduce formal agreements with funding provided in return for explicit standards of performance [34]. At their most elaborate, such reforms created an 'internal market' within the public sector, as was implemented in the UK.…”

Section: (C) Healthcare Provisionmentioning

confidence: 99%

Reflections on the development of health economics in low- and middle-income countries

Mills

2014

Proc. R. Soc. B.

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Health economics is a relatively new discipline, though its antecedents can be traced back to William Petty FRS (1623–1687). In high-income countries, the academic discipline and scientific literature have grown rapidly since the 1960s. In low- and middle-income countries, the growth of health economics has been strongly influenced by trends in health policy, especially among the international and bilateral agencies involved in supporting health sector development. Valuable and influential research has been done in areas such as cost–benefit and cost-effectiveness analysis, financing of healthcare, healthcare provision, and health systems analysis, but there has been insufficient questioning of the relevance of theories and policy recommendations in the rich world literature to the circumstances of poorer countries. Characteristics such as a country's economic structure, strength of political and social institutions, management capacity, and dependence on external agencies, mean that theories and models cannot necessarily be transferred between settings. Recent innovations in the health economics literature on low- and middle-income countries indicate how health economics can be shaped to provide more relevant advice for policy. For this to be taken further, it is critical that such countries develop stronger capacity for health economics within their universities and research institutes, with greater local commitment of funding.

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Section: (C) Healthcare Provisionmentioning

confidence: 99%

Reflections on the development of health economics in low- and middle-income countries

Mills

2014

Proc. R. Soc. B.

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“…The content of these reforms, and assessments of their relative merits and demerits at achieving their declared intentions, has been dealt with extensively elsewhere (see, for example, Berman & Bossert, 2000;Mills, 2001). What is interesting here, in the context of globalization, is the way in which such policy ideas flowed across territorial boundaries more readily than ever before.…”

Section: Globalization and Health-sector Reformmentioning

confidence: 99%

Globalization and Health

Lee¹,

Yach²,

Kamradt‐Scott³

2003

145

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Widespread consensus now exists that fundamental changes to human societies around the world are presently under way, a trend broadly referred to as globalization. Although this evolution is historically rooted in how all societies have formed and adapted over millennia, there is a sense that the changes of recent decades are more intense and accelerated. The resultant impacts of globalization potentially affect every individual and community.The changes arising from globalization can be understood to extend to the field of public health in three main ways. First, processes of global change are shaping the broad determinants of health. Along with individual lifestyle factors, globalization is influencing determinants of health such as employment, housing, education, water and sanitation, and agriculture and food production. Moreover, general socioeconomic, cultural, and environmental conditions are undergoing a transformation. Overall, globalization is restructuring human societies in diverse ways, and hence potentially influencing a broad range of factors that affect individual and population health.Second, a growing body of evidence indicates that health status and outcomes are being variably influenced by globalization. Many argue that globalization is giving rise to new patterns of health and disease linked to the consequent restructuring of human societies. These patterns include the spread of new and re-emerging diseases, as well as the reconfiguration of existing health challenges, including health inequalities within and across countries. In short, CH18-2 contemporary forms of globalization are producing winners and losers, and health outcomes are one reflection of this separation.Third, as a consequence of the factors mentioned previously, societies must adapt their collective responses to changing health determinants and outcomes. Within the broader context of global governance, and specifically global governance for health, globalization is influencing healthcare financing and service provision in a diverse range of countries, as well as the ways in which many products and services that affect health are regulated and marketed. The need to negotiate collective arrangements within and across countries, within the health sector and beyond, and across the public and private sectors has created new challenges.This chapter provides an overview of how globalization is affecting health determinants, health status and outcomes, and the regulatory environment for public health, including healthcare financing and service provision. These impacts can be collectively understood as the effects of the transition from international to global public health. The chapter begins by defining the often-used term "globalization," its key drivers, and the precise changes it is creating. This explication is followed by a discussion of the links between globalization and shifting patterns of infectious and chronic diseases. Finally, the effects on collective responses to global health challenges are explored through considera...

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“…Therefore the government has to specify incentives to align the motivations of the agents as closely as possible with the principal's objectives. Beyond these areas, specifying efficient contracts becomes much more problematic (Mackintosh and Roy 1999;and Mills et al 2001).…”

Section: Key Debates/ Issues Of Regulation In the Health Sectormentioning

confidence: 99%

“…(Soderlund and Tangcharoensathien 2000). The private sector expansion therefore occurs in a policy vacuum with no measures taken to ensure adequate quality (Mills et al 2001). To understand why this is so it is necessary to look in detail at an actual case.…”

Section: Introductionmentioning

confidence: 99%

Medical Regulation in Malaysia: Towards an Effective Regulatory Regime

Rosnah¹,

Abdullah²

2002

Policy and Society

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This paper assesses the functioning of the regulatory system of the Malaysian medical profession. It demonstrates that the regulatory bodies of the medical profession do not reflect the interest of the users adequately. Their composition mostly represents the medical practitioners and medical organizations and their regulatory processes do not provide clear channels through which users can voice complaints.

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The Challenge of Health Sector Reform

Cited by 59 publications

References 61 publications

Reflections on the development of health economics in low- and middle-income countries

Reflections on the development of health economics in low- and middle-income countries

Globalization and Health

Medical Regulation in Malaysia: Towards an Effective Regulatory Regime

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